A 48-Year-Old Deaf Man Comes to the Office for a New

A 48-year-old deaf man comes to the office for a new patient visit.  The patient recently moved to the area and is accompanied by a friend with whom he communicates using American Sign Language.  The office staff informs the physician that the patient has also been communicating by reading lips, using gestures, and nodding his head in agreement.  At the start of the appointment, the friend says that the patient has asthma and uses an inhaler as needed.  The patient gives the physician a handwritten note indicating that he would like to try a longer-acting inhaler.  Which of the following is the most appropriate next step in evaluation of this patient?

A) Ask the patient's friend to continue providing interpretation
B) Continue the evaluation through written communication
C) Obtain further history by having the patient fill out a detailed form
D) Speak slowly and enunciate to allow the patient to read lips
E) Use a qualified American Sign Language interpreter

Correct Answer:

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